Individual provider Active NPI

Gulam Ashfaq-Husain Khan, MD

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1528055001
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-13238 Issued in AR
Practice address
4301 W Markham St # 556
Little Rock, AR 72205-7101
Phone
(501) 686-8000
Fax
(501) 526-5148
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01057508 IN
Diagnostic Radiology Physician 2085R0202X E-13238 AR Primary
Diagnostic Radiology Physician 2085R0202X 45862 KY
Diagnostic Radiology Physician 2085R0202X 61599 AZ
Diagnostic Radiology Physician 2085R0202X MD441867 PA

Addresses

Primary practice location

4301 W Markham St # 556
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

13738 Chase St
Crown Point, IN 46307-9774
Phone (877) 264-3344 ext. 1

Other practice location 2

17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone (833) 228-6889

Other practice location 3

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7000

Other practice location 4

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6764

Other practice location 5

1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone (814) 278-3280

Other identifiers 1

IdentifierTypeStateIssuer
200455100MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, TX, KY, TN, CA, AR, AZ, NJ, AL10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20050803001164 IN Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 13 organizations
I20130205000335 MI Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 2 organizations
I20200513002332 TX Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 3 organizations
I20200811001705 KY Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 2 organizations
I20211021000229 TN Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 1 organization
I20240328003282 CA Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 26 organizations
I20240416003244 AR Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 4 organizations
I20240501001973 AZ Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 1 organization
I20241019000113 NJ Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 1 organization
I20250509000133 AL Practitioner - Diagnostic Radiology 4183519812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Placerville Radiology Medical Group IncGroup PAC ID 0143382374, 62 clinicians
Los Alamitos Radiology Group IncGroup PAC ID 5092718882, 69 clinicians
Butler Imaging and Interventional Associates LLCGroup PAC ID 8426115478, 43 clinicians
Medical Diagnostic Services IncGroup PAC ID 5890893275, shared by 8 NPIs, 5 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

Mission Viejo, CA 92692
Phone (626) 244-8200

1 Childrens Way
Suite 653
Little Rock, AR 72202-3571
Phone (501) 364-1100

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

27103 Pacific Terrace Dr
Mission Viejo, CA 92692-5013
Phone (858) 546-3800

3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (562) 799-3294

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

4479 Pontiac Lake Rd
1D
Waterford, MI 48328-2058
Phone (248) 499-7618

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

8007 S Meridian St
2C
Indianapolis, IN 46217-2901
Phone (219) 836-1222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
62.15 of 100Reported as group
Quality
73.12
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
45.46 of 100Reported as group
Quality
30.2
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
53.98 of 100Reported as group
Quality
11.8
Promoting interoperability
74
Improvement activities
0
Cost
82.7

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
Quality
92.22
Improvement activities
40
Cost
74.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01057508INMDDiagnostic Radiology Physician
25MA12315700NJMDDiagnostic Radiology Physician

Practice roles (60 of 102)

OrganizationSpecialtyStatusNew patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Radx Imaging Partners Inc Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Apr 17, 2024 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Current Accepting new patients
West Valley Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince May 21, 2024 Accepting new patients
San Joaquin Community Hospital CurrentSince May 1, 2024 Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Santa Cruz Radiology L L C Diagnostic Radiology CurrentSince May 10, 2024 Accepting new patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Jun 22, 2024 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Jan 30, 2025 Accepting new patients
Los Alamitos Radiology Group Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Mar 12, 2024 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Mar 10, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Apr 17, 2024 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince May 1, 2024 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
University of Arkansas for Medical Sciences Diagnostic Radiology Current Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Mar 14, 2024 Accepting new patients
Lima Radiological Associates Diagnostic Radiology CurrentSince Mar 25, 2021 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jan 14, 2025 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince Apr 1, 2025 Accepting new patients
Owensboro Health Medical Group, Inc Family Medicine CurrentSince Nov 9, 2025 Accepting new patients
Placerville Radiology Medical Group Inc Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Radiology Muskegon PC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Medical Diagnostic Services Inc Diagnostic Radiology CurrentSince Jul 29, 2019 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 10, 2024 Accepting new patients
Fullerton Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Mar 10, 2024 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince Apr 1, 2025 Accepting new patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince Nov 30, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 10, 2024 Accepting new patients
San Antonio Radiological Medical Diagnostic Radiology CurrentSince Mar 14, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Ecm Health Group LLC CurrentSince Jul 30, 2025 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
University of Kentucky Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Medical Diagnostic Services Inc Diagnostic Radiology CurrentSince Jul 29, 2019 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Feb 10, 2021 Accepting new patients
Peninsula Radiological Associates Limited Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
Renaissance Radiology Associates PLLC Diagnostic Radiology CurrentSince May 30, 2024 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jun 27, 2022 Accepting new patients
County of San Joaquin CurrentSince Mar 14, 2024 Accepting new patients
County of San Joaquin CurrentSince Mar 14, 2024 Accepting new patients
San Joaquin Community Hospital CurrentSince May 1, 2024 Accepting new patients
Charlottesville Radiology LTD Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Plains Radiology Services LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Sep 1, 2024 Accepting new patients
X-Ray Medical Group Inc Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Medical Diagnostic Services Inc Current Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
X-Ray Associates of Louisville PSC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Barden Thorwarth Daughtridge LTD Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jun 27, 2022 Accepting new patients

Locations (25 of 89)

401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100

1751 Veterans Dr
Florence, AL 35630
Phone (256) 768-9191

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

4301 W Markham St
#556
Little Rock, AR 72205
Phone (501) 296-1095

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

3581 Palmer Dr
Ste 300
Cameron Park, CA 95682

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gkhan32907@ukhcdirect.org

Organizations & group practices 104

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 104

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1528055001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 556",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13738 Chase St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463079774",
            "country_code": "US",
            "telephone_number": "877-264-3344 x1",
            "fax_number": "888-264-8118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17310 Wright St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681302405",
            "country_code": "US",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Martha Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6764",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Old Gatesburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "GULAM",
        "middle_name": "ASHFAQ-HUSAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01057508",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-13238",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "45862",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "61599",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD441867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200455100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.